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Home My Public Portal About10646 BOGUE ST_Plumbing__ 76A667-C E#81 7 10-67 APPLICATION FOR PLUMBING PERMIT �... COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING / . JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS O COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY e FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE , OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.5 0 CONTAACTC -- SINK 1.50 ADD DISHWASHER 1.50 TE CLOTHES WASHER 1.50 TATE �/ LIC LICENS NO.�I%�(, _ {O CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP P ESSED BY V LAWN SPRINKLER SYSTEM 2.00 O U WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL O GAS SYSTEM OUTLETS 1:50 INSPECTION RECORD .0 OUTLET_q OVER _ w 5 PER TEM •30 - a' V7 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 ``00 TOTAL FEE J APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK - - Nance ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. - HOT WATER HEATER ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - ALATHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITHCOUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST ' - CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ' REQUIRED BY LOS ANGELES COUNTY AND STATE OF - OR THAT I AM THE LEGAL OWN R OF,AND INTEND TO HE ABOVE qE 6CRIBED RESID T L PROPER y FINAL G JACK R. ALLEN, SUPERVISING MECHANIC NG',R E PERMIT VALIDATION. CK. M O. ASH PLAN-CHECK VALIDATION CK. M.0. CASH 0%715 . • 5- o -- 3 U V 76AG"7 ARR'LICATION FOR PLUMBING PERMIT DBS-17 10-'r DIVISION OF BUILDING AND SAFETY . - .,b..- Depostment of County Engineer County of Los Angeles B U I LD I N G JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS10646 -Rogue St. MMMM CASSATT D. GRIFFIN, SUPT OF BUILDING - LOCALITY TamplA' City FOR APPLICANT TO FILL IN NEARESCROSS T . EZ A e OWNER - DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAI L ADDRESS 8640 E. -Las Tunas :Blvd o -77 - �+ �/ r INDUSTRIAL CITY pan Gabriel TEL:NO. A� 7®300( WASTE APPROVAL PLUMBER Standard Plumbing Com /� .-� INSPECTION RECORD ADDRESS 4333 E. F&orence Ave o• �� a CITY gel! .• TEL. NO. T.II 7-1194 '59 .�,0 LICENSE NO. ;�q 2�� / L NUMBER TYPE OF FIXTURE OR ITEM FEE _ WATER CLOSET (TOILET) @ $100 �� ilk rair/ �' y� BATH TUB @ $1.00 1 00 SHOWER @ $1.00 9. LAVATORY (WASH BASIN) @ $1.00 00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 - LAUNDRYTUBORTRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM "" @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE ' UNDER SLAB WORK ' t•' ROUGH PLUMBING PERMIT $ --7 00 GAS PIPING TOTAL FEE GAS VENT ANDHEREBY STATE THAT OTHEEDGE ABOVEH ST CORRECT AND AGREEAPPLICATION LY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES. .�f PLUMBING. b " HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST / I iL-%r34-d'•Gr e -c LICENSED AS REQUIRED B A ELES COUN AN TATE OF CALIFORNIA OR THAT I M EGAL W R V UTILITY CO.NOTIFIED DESCRIBED RESIDENTI SIGNATURE OF PERMITTEE FINAL -/ -, J, JOHN A. LAMBIE, COUNTY ENGINEER . VALIDATION ROBERTA. WOOD, CHIEF PLBG. INSPECTOR c !1.0. CASH Lot # 1 2. 0 9 3 e�Dv 7- 3 1 1 .0 d - G ` 76A667-CE'1617 6-65 APPLICATION FOR PLIJ 4:N&PAEMIIT4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ` ! JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / B �p 40 q,-e-0, COLEMAN W. JENKINS, SUP T of BUILDING LOCALITY P�,t / .� FOR APPLICANT TO FILL IN NEAREST CROSS ST. 0914 , NUMBER FIXTURE OR ITEM EACH FEE k � / `` OWNER V C3 h e e.>P v WATER CLOSET 31.25 (} MAIL BATH TUB 1.25 ADDRESS /O CO- /6\!f SHOWER 1.25 le :2 / CITY .ems C= TE . NO.• j041(- G•3 LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS /y0/�i- DISHWASHER 1.25 CITY K iv, TEL. NO SATEg (�8 LIC LAUNDRY TUB 1.25 LICENSE NO. .S`� Q' CLASS CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZOE PRO SSED BY WATER HEATER 1.50 /J/ GAS SYSTEM f OUTLETS 1.50 INDUSTRIAL } WASTE APPROVAL D_ OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O O F- V LU CL N Z APPROVALS DATE/ IN PE R'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE ` . � GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DF6CRIBED RESIDENTIAL PROP TY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE �, FINAL LIDATION • CK M O. CASH LrailO 0 0 5 4 FEB 2 8 5 D 1 2.2 5- ' .WORKERS'COMPENSATION DECLARATION `zeasVA I hereby affirm that I have a certificate of consent to self CE 817 (2-80) APPLICATION FOR- PLUMBING PERMIT {� insure, or a certificate of Workers'Compensation Insurance,or J a certified copy thereof(Sec. 3800,Lab. - COUNTY OF LOS ANGELES BUILDING AND SAFETY ; Policy.No. Company Certifie copy is hereby furnished.' FOR APPLICANT TO FILL IN (PRINT OR TYPE)• BUILD G 8 ADDRESS ` Ce i ed co is filed with a county buildin inspection NUMBER FIXTURE OR ITEM • FEE t e LOCALITY Dat A WATER CLOSET NEAREST BATH TUB CROSS ST. CER FICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL , (This section need not be completed if the work involved ADDRESS OG L �e�� >_ by the permit is for one hundred dollars ($100) or less.) SINK C I TY .NO! 0- I certify that in the performance of the work for which this DISHWASHER U .permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become,subject to the Workers' Compensation Laws. CLOTHES WASHER 0 ADDRESS Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, after making this Certificate of CITY` TaESSAD d Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM, ` STATE LEn Compensation provisions of the Labor Code, you must forth- LICENSE NO. 1 C with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DI ICT NO. LICENSED CONTRACTORS DECLARATION OUTLETS OVER �D I hereby affirm that I am licensed under,provisions of Chapter 15 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of'the Busi- FINAL �Z j VALIDATION ness and Professions Code, and my license is in full force and DATE effect. �( FINAL License Nu " ic.C ass BY Contr c I am exempt from the licensing re irements as I am a Plan check feeli licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 2 Q 97,6 A 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project # o.0 0 0 o 5 (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency o'o o 1,Q 0 5 for the performance of the work for which this permit is , issued (Sec. 3097,Civ.C.). 0427-81 spe r Lender's Name , +60� Lender's Address FIG AM � I certify that I have read this application and state that the f 1 above noesinfoand S�s correct.I agree to comply g, all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and eby authorize re emative f this Co nt o enter u on th bove-me coned property fo insp pu pose Signature of Permittee Dat